Review the places where movement is hardest
Ask where near-falls or hesitation happen: beside the bed, at the bathroom, around a chair, on stairs, or at the entrance. Those details are more useful than making general changes without observing the person's routine.
A physiotherapist can assess walking, balance, strength, transfers, footwear, walking-aid use, and movement through the home. This helps the family prioritise changes that match the person's actual needs.
Make everyday routes easier
Improve lighting, remove loose obstacles, keep floors dry, and make sure frequently used items are accessible. A stable chair with armrests may help with rest and transfers; unstable stools and furniture should not be used as walking supports.
- Keep a clear route between the bed, bathroom, chair, and main living area.
- Check that the walking aid can move through the route without catching on furniture.
- Use prescribed footwear or equipment and ask for a fit check when unsure.
Look at the person as well as the home
Balance can be affected by weakness, fatigue, pain, vision, medication effects, neurological symptoms, a recent illness, or fear after a previous fall. These factors need a person-specific assessment rather than a one-size-fits-all exercise list.
Encourage the person to move at a manageable pace and use the agreed support. Do not rush transfers or insist on walking when the person is suddenly unwell or unsafe.
Know when a fall is urgent
Seek urgent medical care after a serious fall, suspected fracture, head injury, loss of consciousness, sudden weakness, new confusion, chest pain, breathing difficulty, or severe pain. Contact the treating team when falls are recurring or function is changing.